Obsessive Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD) is characterised by the presence of unwanted, intrusive thoughts, images, or urges (obsessions) and repetitive behaviours or mental rituals (compulsions) performed to reduce the distress caused by these obsessions. These thoughts are ego-dystonic, meaning they feel distressing, inconsistent with one’s values, and are not aligned with who the person wants to be.
OCD can present in different ways, including:
- Harm-related obsessions: fears of accidentally causing harm to oneself or others
- Morality / Scrupulosity: intrusive thoughts related to morality, ethics, or religious rules
- Contamination fears: worries about germs, dirt, or illness leading to cleaning or avoidance behaviours
- Symmetry / Ordering: need for things to feel “just right” or in a particular order
At our clinic, we take a holistic approach to OCD, considering potential underlying factors such as trauma, anxiety, or other mental health concerns. The primary treatment for OCD is Exposure and Response Prevention (ERP), which helps individuals face feared situations without engaging in compulsions.
In cases where ERP has not previously helped, or where OCD is trauma-related, other modalities may be used, including Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and EMDR. EMDR can also be used in combination with ERP to target trauma that may be maintaining OCD symptoms.
